Does Security Health Plan Cover Forteo

Learn if Security Health Plan covers Forteo, reasons for denial, tips to get coverage, and Forteo costs without insurance. FAQ section included.
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“Curex is changing the landscape of allergies in 2024”
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Security Health Plan Coverage for Forteo

 

  • Security Health Plan may cover Forteo, a medication used for osteoporosis, under certain conditions. Coverage typically depends on the specific health plan and its policies.
  •  

  • For coverage, patients often need a medical diagnosis indicating severe osteoporosis with a high risk of fracture.
  •  

  • A healthcare provider must prescribe Forteo as necessary after considering other osteoporosis treatments that didn't yield sufficient results.
  •  

  • Pre-authorization might be required, meaning your doctor needs approval from Security Health Plan before the prescription can be filled.
  •  

  • It's important to verify coverage details directly with Security Health Plan or consult with a healthcare provider to understand the specific criteria and documentation needed.
  •  

 

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Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Forteo Coverage with Security Health Plan

 

Identify Your Coverage Needs

 

  • Determine if Forteo is essential for your treatment plan. Review your prescription and diagnose to confirm the necessity of Forteo.
  •  

  • Check if you currently have active health coverage with Security Health Plan.

 

Review Your Health Plan Benefits

 

  • Log in to your Security Health Plan member account online to access your benefits information.
  •  

  • Review the "Pharmacy Benefits" or the "Medications" section to see if Forteo is included or if it's part of a special tier of medications.

 

Contact Member Services

 

  • Reach out to Security Health Plan's member services via the phone number on your insurance card for guidance on Forteo coverage.
  •  

  • Ask for clarification on any prerequisites or documentation needed for Forteo coverage, such as pre-authorization or physician notes.

 

Seek Prior Authorization

 

  • If Forteo requires prior authorization, request the necessary forms from your healthcare provider or download them from the Security Health Plan's website.
  •  

  • Provide your doctor with any forms that need completion, emphasizing the medical necessity of Forteo.

 

Submit Required Documentation

 

  • Gather all required documentation, including doctor’s notes, prescription details, and any completed prior authorization forms.
  •  

  • Submit these documents by following the preferred submission method outlined by Security Health Plan (e.g., fax, mail, or online portal).

 

Follow Up on Your Request

 

  • Contact Security Health Plan after submission to confirm receipt of your documentation and to inquire about the status of your request.
  •  

  • Maintain regular communication until a decision is made regarding your Forteo coverage.

 

Explore Financial Assistance Programs

 

  • If your initial request is denied, ask about alternative solutions or coverage options for Forteo.
  •  

  • Investigate manufacturer assistance programs or state aid programs for additional support with Forteo costs if necessary.

 

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Does Security Health Plan Cover Forteo

Learn if Security Health Plan covers Forteo, reasons for denial, tips to get coverage, and Forteo costs without insurance. FAQ section included.
Curex allergy drops unboxing

Is Forteo Covered by Security Health Plan

 

Security Health Plan Coverage for Forteo

 

  • Security Health Plan may cover Forteo, a medication used for osteoporosis, under certain conditions. Coverage typically depends on the specific health plan and its policies.
  •  

  • For coverage, patients often need a medical diagnosis indicating severe osteoporosis with a high risk of fracture.
  •  

  • A healthcare provider must prescribe Forteo as necessary after considering other osteoporosis treatments that didn't yield sufficient results.
  •  

  • Pre-authorization might be required, meaning your doctor needs approval from Security Health Plan before the prescription can be filled.
  •  

  • It's important to verify coverage details directly with Security Health Plan or consult with a healthcare provider to understand the specific criteria and documentation needed.
  •  

 

A weight management program tailored to you

Start with Curex

Security Health Plan's Approved Criteria for Forteo Coverage

 

Criteria for Coverage of Forteo under Security Health Plan

 

  • Forteo is covered for the treatment of osteoporosis in postmenopausal women at high risk for fracture.
  •  

  • Coverage extends to men with primary or hypogonadal osteoporosis at high risk for fracture.
  •  

  • Approval is granted for glucocorticoid-induced osteoporosis in both men and women who are at high risk for fracture and are on long-term systemic glucocorticoid therapy.
  •  

  • Members must have a documented history of at least one osteoporotic fracture or demonstrate a high risk for fracture based on bone mineral density (BMD) scores.
  •  

  • Patients must have tried and had an inadequate response to, or are intolerant of, other osteoporosis therapies such as bisphosphonates.
  •  

  • The initial treatment approval period is for a duration of 24 months given that the therapy aligns with safety guidelines.
  •  

  • Forteo is covered when prescribed by or in consultation with a specialist in rheumatology, endocrinology, or a physician with osteoporosis management expertise.

 

Why Security Health Plan Might Deny Forteo Coverage

 

Criteria and Situations for Denial of Forteo Coverage by Security Health Plan

 

  • Forteo is not covered if the patient has a prior history of osteosarcoma, which is a type of bone cancer.
  •  

  • The medication is denied if the patient's bones have been exposed to radiation due to cancer treatment, increasing the risk of osteosarcoma.
  •  

  • Patients with metabolic bone diseases other than osteoporosis, such as Paget's disease, are not eligible for Forteo coverage.
  •  

  • If the patient has unexplained elevations of alkaline phosphatase, a discharge that might indicate other bone diseases, Forteo is not covered.
  •  

  • Security Health Plan does not cover Forteo for patients with pre-existing hypercalcemia, which is a condition characterized by above-normal levels of calcium in the blood.
  •  

  • Coverage is denied if the usage of Forteo exceeds the recommended treatment duration of 24 months over the patient’s lifetime.
  •  

 

Together with our partners we have changed the lives of over 300,000 patients.

How Much Does Forteo Cost without Insurance?

 

Cost of Forteo Without Insurance

 

  • The price of Forteo (teriparatide injection) without insurance is quite substantial, typically ranging between $3,500 and $4,000 for a 28-day supply, which is a 2.4 mL pen of 600 mcg per 2.4 mL strength.
  •  

  • Keep in mind that pharmaceutical prices can vary based on the pharmacy, geographical location, and any available discounts or pharmacy-specific savings programs.
  •  

  • Patients can check with specific pharmacies for the most accurate pricing and inquire about any potential savings programs or discounts.
  •  

  • Consider contacting the manufacturer or exploring patient assistance programs, as they sometimes offer help to reduce costs for those without insurance coverage.

 

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Forteo Coverage with Security Health Plan

 

Identify Your Coverage Needs

 

  • Determine if Forteo is essential for your treatment plan. Review your prescription and diagnose to confirm the necessity of Forteo.
  •  

  • Check if you currently have active health coverage with Security Health Plan.

 

Review Your Health Plan Benefits

 

  • Log in to your Security Health Plan member account online to access your benefits information.
  •  

  • Review the "Pharmacy Benefits" or the "Medications" section to see if Forteo is included or if it's part of a special tier of medications.

 

Contact Member Services

 

  • Reach out to Security Health Plan's member services via the phone number on your insurance card for guidance on Forteo coverage.
  •  

  • Ask for clarification on any prerequisites or documentation needed for Forteo coverage, such as pre-authorization or physician notes.

 

Seek Prior Authorization

 

  • If Forteo requires prior authorization, request the necessary forms from your healthcare provider or download them from the Security Health Plan's website.
  •  

  • Provide your doctor with any forms that need completion, emphasizing the medical necessity of Forteo.

 

Submit Required Documentation

 

  • Gather all required documentation, including doctor’s notes, prescription details, and any completed prior authorization forms.
  •  

  • Submit these documents by following the preferred submission method outlined by Security Health Plan (e.g., fax, mail, or online portal).

 

Follow Up on Your Request

 

  • Contact Security Health Plan after submission to confirm receipt of your documentation and to inquire about the status of your request.
  •  

  • Maintain regular communication until a decision is made regarding your Forteo coverage.

 

Explore Financial Assistance Programs

 

  • If your initial request is denied, ask about alternative solutions or coverage options for Forteo.
  •  

  • Investigate manufacturer assistance programs or state aid programs for additional support with Forteo costs if necessary.

 

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Forteo FAQ

What are the common side effects of Forteo?

 

Common Side Effects of Forteo

 

  • Nausea: A frequent complaint among users, often resolves as your body adjusts to the medication.
  •  

  • Dizziness: Usually occurs after an injection, so sitting or lying down shortly afterward can help.
  •  

  • Leg Cramps: Regular stretching exercises may alleviate this discomfort.
  •  

  • Joint Pain: May be managed by over-the-counter painkillers, but consult your doctor first.
  •  

  • Injection Site Reactions: Mild redness or itching at the injection site is common, often soothed by cold compresses.

 

How does Forteo work for osteoporosis?

 

How Forteo Works

 

  • Forteo, or teriparatide, is a form of parathyroid hormone that helps stimulate new bone formation.
  •  

  • It works by increasing bone remodeling, which is crucial for improving bone density.

 

Osteoporosis Effectiveness

 

  • Used primarily for osteoporosis patients who have a high risk of fractures.
  •  

  • Improves bone microarchitecture, which enhances bone strength.

 

Administration

 

  • Administered via daily subcutaneous injection for up to 2 years.
  •  

  • Patients should follow their doctor’s instructions for the correct administration.

 

How long can you safely take Forteo?

 

Duration of Forteo Use

 

  • Forteo (teriparatide) is recommended for a maximum duration of 2 years over a patient's lifetime.
  •  

  • This limitation is based on studies that show an increased risk of osteosarcoma in rats. Though this risk hasn't been confirmed in humans, the duration is restricted for safety.

 

Considerations and Monitoring

 

  • During treatment, regular bone density scans and evaluations for potential side effects are necessary.
  •  

  • Patients should ensure they are not taking medications or have conditions that could further exacerbate potential risks.

 

Have questions left?

Get a personalized online consultation with a doctor at Curex

Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”
Becky D.
"If I could give 6 stars, I would. BEST... BEST… BEST… service.”
Ferdian K.
“The Curex staff has been professional, efficient, and really focused on my individual needs.”
Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide. Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. We don’t prescribe Ozempic®* or Wegovy®.* We may prescribe treatments containing compounded semaglutide or tirzepatide. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Does Security Health Plan Cover Forteo

Learn if Security Health Plan covers Forteo, reasons for denial, tips to get coverage, and Forteo costs without insurance. FAQ section included.
Curex allergy drops unboxing

Does Security Health Plan Cover Forteo

 

Security Health Plan Coverage for Forteo

 

  • Security Health Plan may cover Forteo, a medication used for osteoporosis, under certain conditions. Coverage typically depends on the specific health plan and its policies.
  •  

  • For coverage, patients often need a medical diagnosis indicating severe osteoporosis with a high risk of fracture.
  •  

  • A healthcare provider must prescribe Forteo as necessary after considering other osteoporosis treatments that didn't yield sufficient results.
  •  

  • Pre-authorization might be required, meaning your doctor needs approval from Security Health Plan before the prescription can be filled.
  •  

  • It's important to verify coverage details directly with Security Health Plan or consult with a healthcare provider to understand the specific criteria and documentation needed.
  •  

 

A weight management program tailored to you

Start with Curex

Why Security Health Plan Might Deny Forteo Coverage

 

Criteria for Coverage of Forteo under Security Health Plan

 

  • Forteo is covered for the treatment of osteoporosis in postmenopausal women at high risk for fracture.
  •  

  • Coverage extends to men with primary or hypogonadal osteoporosis at high risk for fracture.
  •  

  • Approval is granted for glucocorticoid-induced osteoporosis in both men and women who are at high risk for fracture and are on long-term systemic glucocorticoid therapy.
  •  

  • Members must have a documented history of at least one osteoporotic fracture or demonstrate a high risk for fracture based on bone mineral density (BMD) scores.
  •  

  • Patients must have tried and had an inadequate response to, or are intolerant of, other osteoporosis therapies such as bisphosphonates.
  •  

  • The initial treatment approval period is for a duration of 24 months given that the therapy aligns with safety guidelines.
  •  

  • Forteo is covered when prescribed by or in consultation with a specialist in rheumatology, endocrinology, or a physician with osteoporosis management expertise.

 

Together with our partners we have changed the lives of over 300,000 patients.

Forteo FAQ

 

Criteria and Situations for Denial of Forteo Coverage by Security Health Plan

 

  • Forteo is not covered if the patient has a prior history of osteosarcoma, which is a type of bone cancer.
  •  

  • The medication is denied if the patient's bones have been exposed to radiation due to cancer treatment, increasing the risk of osteosarcoma.
  •  

  • Patients with metabolic bone diseases other than osteoporosis, such as Paget's disease, are not eligible for Forteo coverage.
  •  

  • If the patient has unexplained elevations of alkaline phosphatase, a discharge that might indicate other bone diseases, Forteo is not covered.
  •  

  • Security Health Plan does not cover Forteo for patients with pre-existing hypercalcemia, which is a condition characterized by above-normal levels of calcium in the blood.
  •  

  • Coverage is denied if the usage of Forteo exceeds the recommended treatment duration of 24 months over the patient’s lifetime.
  •  

 

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How Much Does Forteo Cost without Insurance?

 

Cost of Forteo Without Insurance

 

  • The price of Forteo (teriparatide injection) without insurance is quite substantial, typically ranging between $3,500 and $4,000 for a 28-day supply, which is a 2.4 mL pen of 600 mcg per 2.4 mL strength.
  •  

  • Keep in mind that pharmaceutical prices can vary based on the pharmacy, geographical location, and any available discounts or pharmacy-specific savings programs.
  •  

  • Patients can check with specific pharmacies for the most accurate pricing and inquire about any potential savings programs or discounts.
  •  

  • Consider contacting the manufacturer or exploring patient assistance programs, as they sometimes offer help to reduce costs for those without insurance coverage.

 

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”
Becky D.
"If I could give 6 stars, I would. BEST... BEST… BEST… service.”
Ferdian K.
“The Curex staff has been professional, efficient, and really focused on my individual needs.”
Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.